Organization
FRANKLIN COUNTY CHIROPRACTIC CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PAUL BUKOFCHAN D.C. (PRESIDENT)
(765) 647-5332
Entity
Organization
Contact information
Practice address
1235 FRANKLIN AVE, BROOKVILLE, IN 47012-1037
(765) 647-5332
(765) 647-5332
Mailing address
1235 FRANKLIN AVE, P O BOX 387, BROOKVILLE, IN 47012-1037
(765) 647-5332
(765) 647-5332
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
08007533
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100365400A
—
IN
Enumeration date
11/15/2006
Last updated
01/21/2015
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